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05D2279160 CLIA NUMBER - AUXILIUM HOME HEALTH, INC.

Laboratory Demographics

CLIA Number: 05D2279160

Facility Name: AUXILIUM HOME HEALTH, INC.

Facility Address:
2525 E COLORADO BLVD STE 106
PASADENA, CA
ZIP 91107
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Facility Phone Number: 626 376-9271

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1023609609

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 05D2279160
LAB Type Home Health Agency
Facility Name AUXILIUM HOME HEALTH, INC.
Street 2525 E COLORADO BLVD STE 106
City PASADENA
State CA
ZIP 91107
Phone 626 376-9271
CertificateType 4
CertificateEffectiveDate 3/30/2023
CertificateExpirationDate 3/29/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024